| NPI | 1699217273 |
|---|---|
| Former Name | AMANDA LYNN CONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008068) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2022-08-11 |